D.C. Mun. Regs. tit. 26, r. 26-D202

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 26-D202 - HARDSHIP EXEMPTIONS

202.1

An individual shall be exempt from the District shared responsibility payment for a month in which the Authority determines that individual has suffered a hardship with respect to the ability to obtain coverage under a qualified health plan.

202.2

The Authority shall grant a hardship exemption if it determines any of the following based on the information submitted on the hardship application published by the Authority:

(a) The applicant has experienced financial or domestic circumstances, including an unexpected natural or human-caused event, resulting in a significant, unexpected increase in essential expenses that prevented the applicant from obtaining coverage under a qualified health plan;

(b) The expense of purchasing a qualified health plan would have caused the applicant to experience serious deprivation of food, shelter, clothing or other necessities; or

(c) Another circumstance prevented the applicant from obtaining coverage under a qualified health plan.

202.3

Each hardship exemption shall be granted for at least the month before, the month or months during, and the month after a specific event or circumstances that qualified the individual for the exemption. A single approval shall not span more than one taxable year. Instead, an individual may submit separate applications for separate taxable years pursuant to §230.2.

D.C. Mun. Regs. tit. 26, r. 26-D202

Final Rulemaking published at 67 DCR 1236 (2/7/2020)